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目的了解温州市居民高血压患病现状及影响因素,为高血压防治提供依据。方法采用多阶段随机抽样方法,对42 747名18岁以上居民进行调查。调查方法包括问卷调查、身体测量和实验室检查。并采用logistic回归分析探讨高血压患病的相关影响因素。结果居民标化高血压患病率为25.28%,男、女性标化患病率分别为25.72%,24.84%。多因素logistic回归分析显示,年龄(OR=1.924,95%CI:1.868~1.982,P=0.000);文化程度(OR=0.910,95%CI:0.881~0.940,P=0.000);婚姻状况(OR=1.062,95%CI:1.023~1.103,P=0.002);职业性体力活动(OR=0.932,95%CI:0.876~0.992,P=0.026);BMI(OR=1.690,95%CI:1.599~1.786,P=0.000);中心性肥胖(OR=1.396,95%CI:1.295~1.504,P=0.000);高血压家族史(OR=1.908,95%CI:1.759~2.070,P=0.000);糖尿病(OR=1.576,95%CI:1.441~1.725,P=0.000);血脂异常(OR=1.110,95%CI:1.038~1.188,P=0.002)是高血压的影响因素。结论高血压患病与多种因素相关,应加强高血压的社区防治,普及高血压预防知识。
Objective To understand the prevalence and influencing factors of hypertension in Wenzhou residents and provide the basis for prevention and treatment of hypertension. Methods A multi-stage random sampling method was used to investigate 42 747 residents over the age of 18 years. Survey methods include questionnaires, body measurements and laboratory tests. Logistic regression analysis was used to explore the influencing factors of hypertension. Results The prevalence of standardized hypertension in residents was 25.28%. The prevalence rates of male and female were 25.72% and 24.84% respectively. Multivariate logistic regression analysis showed that age (OR = 1.924,95% CI: 1.868-1.982, P = 0.000), education level (OR = 0.910,95% CI: 0.881-0.940, P = 0.000) (OR = 0.932, 95% CI: 0.876-0.992, P = 0.026); BMI (OR = 1.690, 95% CI: 1.599 ~ 1.786, P = 0.000); central obesity (OR = 1.396,95% CI: 1.295-1.504, P = 0.000); family history of hypertension (OR = 1.908,95% CI 1.759-2.070, P = 0.000) Diabetes (OR = 1.576, 95% CI: 1.441-1.725, P = 0.000); dyslipidemia (OR = 1.110, 95% CI: 1.038-1.188, P = 0.002) was the influencing factor of hypertension. Conclusion The prevalence of hypertension is related to many factors. Community-based prevention and treatment of hypertension should be strengthened to popularize the knowledge of prevention of hypertension.